Wednesday Night Dinner Registration - 2/4

Name

This address will receive a confirmation email

Phone

Number of Adults

Number of Children (4-12)

Number of Children (3 and under)

Payment

Dinner is $5 per person with a family max of $25. Children 3 & under are free. Please select to pay online or in person. If paying online, enter the payment amount for your group.

Payment

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

February 4 | 6:00PM

Joining us for dinner on Wednesdays? Please let us know you are coming by registering online. This will help us adequately prepare for dinner.

This week's dinner: Hotdogs, chili and chips

Wednesday Night Dinner Registration - 2/4

Description

Please Fix the Following